Article

PURPOSE: To describe and identify various perspectives on eating difficulties
following stroke to enable theory development and facilitate advancement of
interventions. METHODS: Concept analysis in line with Morse's principles of exploring pragmatic utility was used throughout the data collection and analysis.
Peer-reviewed research on eating difficulties was systematically and critically
appraised. Literature included the bibliographic databases, Medline, Cumulative
Index to Nursing and Allied Health Literature (CINAHL), Scopus and PsycInfo, published up until November 2011. A total of 33 key articles were included in the final analysis. RESULTS:
A conceptual model of eating difficulties is presented
showing the multiple affecting factors, namely meaning-related, functional and contextual factors and the consequences of non-intervention, feeling of loss,
social isolation, negative sensations and depression -
all of which potentially
increase the impact of disease severity, functional outcome and quality of life.
Based upon the dimensions identified, the definition of eating difficulties was synthesized as "any activity and emotional requirement and relations, which alone
or in combination interfere with the process of preparing food, transferring food into the mouth, chewing and swallowing". CONCLUSION : Eating difficulties have profound effects on people. The conceptual model serves to guide health care professionals to assess and help stroke patients in facing a life with eating difficulties.
- Déglutition

Langue : ANGLAIS